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THE VEIN AND LASER CENTER OF NORTHERN COLORADO LLC NPI 1669588455


NPI Information

NPI: 1669588455
Provider Name: THE VEIN AND LASER CENTER OF NORTHERN COLORADO, LLC
Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
1915 WILMINGTON DR
FORT COLLINS, CO
ZIP 80528
Phone: (970) 372-0534
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THE VEIN AND LASER CENTER OF NORTHERN COLORADO, LLC is a vascular surgery surgery in Fort Collins, CO. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. THE VEIN AND LASER CENTER OF NORTHERN COLORADO, LLC NPI is 1669588455. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1915 WILMINGTON DR
FORT COLLINS, CO
ZIP 80528-299
Phone: (970) 372-0534

The provider's authorized official is Gary Johnson .
The authorized official title is Practice Administrator and has the following contact phone number (970) 482-6456.

The enumeration date for this NPI number is 8/22/2006 and was last updated on 12/14/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12086S0129XSurgeryVascular SurgeryCOLORADOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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